Individual
EMMA KATHLEEN WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
148 WARREN ST, LOWELL, MA 01852-2208
(978) 452-1736
Mailing address
94 RIVER ST, HAVERHILL, MA 01832-5467
(815) 236-6818
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
10/30/2020
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